Dr Kendra Fleagle Gorlitsky, MD - Medicare Internal Medicine in Los Angeles, CA

Dr Kendra Fleagle Gorlitsky, MD is a medicare enrolled "Family Medicine" physician in Los Angeles, California. She went to University Of Southern California Keck School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Northeast Valley Health Corporation and her current practice location is 123 S Alvarado Street, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 989-7700.

Dr Kendra Fleagle Gorlitsky is licensed to practice in California (license number G61804) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1902992134.

Contact Information

Dr Kendra Fleagle Gorlitsky, MD
123 S Alvarado Street,
Los Angeles, CA 90057-2201
(213) 989-7700
(213) 989-7702

Map and Direction




Physician's Profile

Full NameDr Kendra Fleagle Gorlitsky
GenderFemale
SpecialityInternal Medicine
Experience38 Years
Location123 S Alvarado Street, Los Angeles, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kendra Fleagle Gorlitsky attended and graduated from University Of Southern California Keck School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1902992134
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749230076
  • Enrollment ID: I20050125000601

Medical Identifiers

Medical identifiers for Dr Kendra Fleagle Gorlitsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902992134NPI-NPPES
WG61804BOtherPPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G61804 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Valley Health Corporation317351732365

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kendra Fleagle Gorlitsky allows following entities to bill medicare on her behalf.
Entity NameNortheast Valley Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629079009
PECOS PAC ID: 3173517323
Enrollment ID: O20040412001067
Entity NameSt Johns Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kendra Fleagle Gorlitsky is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kendra Fleagle Gorlitsky, MD
12408 Deerbrook Lane,
Los Angeles, CA 90049-1912

Ph: (310) 471-4030
Dr Kendra Fleagle Gorlitsky, MD
123 S Alvarado Street,
Los Angeles, CA 90057-2201

Ph: (213) 989-7700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.